Do feeding practices during transfusion influence the risk of developing necrotising enterocolitis in preterm infants?
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An otherwise well 4-week-old 28-week gestation male infant has a haemoglobin level of 69 g/l associated with a low reticulocyte count. He is currently on full enteral feeds. The medical plan is to give him a blood transfusion, but the nursing staff ask whether feeding should be stopped around the time of transfusion to reduce his chance of developing complications. What is the evidence that feeding practices during transfusion influence the risk of developing transfusion-associated necrotising enterocolitis (TANEC)?
Structured clinical question
In a preterm infant [patient] with anaemia of prematurity, do feeding practices [intervention] during blood transfusion reduce the risk of developing TANEC [outcome]?
Search strategy and outcome
MEDLINE (1966–2012), SUMsearch2, the Cochrane library and the Pediatric Academic Societies abstract archive (2000–2011) were searched using the terms: infant, newborn infant, preterm AND necrotising enterocolitis AND transfusion AND feeding, limited to human biology and paediatric population where possible.
A total of 342 articles were identified, of which …